CHRISTOPHER JULIAN GAVARRETE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHRISTOPHER

Middle

JULIAN

Last Name

GAVARRETE

Business Name

CHRISTOPHER JULIAN GAVARRETE DDS

Original Issue Date

08/22/2017

Effective Date

08/22/2017

Expiration Date

09/30/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018